CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12

Size: px
Start display at page:

Download "CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12"

Transcription

1 CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12

2 Activity Chemical Health? Mental Health?

3 Video- What is Addiction HBO

4 Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual Disorder Treatment Levels of Dual Disorders treatment Rule 25: A funding mechanism. 18 page assessment that determines what type of level of care a client needs. Levels of care = detox, inpatient, outpatient Rule 31: The license through the state of MN that sets the standards of care that we must follow. All our policies and procedures are in place because of this license. Rule 29: A similar license that governs mental health clinics SPMI: Serious and Persistent Mental Illness

5 Mental Health treatment 1700s: Lunatics hospitalized either manic or melancholic 1800s: Idea that environment contributes to mental illness More humane treatment, more research 1850s (Civil War): soldiers came back with mental illnesses (PTSD) shock therapy and opium treatments introduced 1870s: Move to asylums for long-term care reduced stigma, populations skyrocketed Timelines Chemical Dependency treatment 1800s: alcohol and drugs (morphine, cocaine, chloral hydrate) used as medications 1840s: first research on addiction, first temperance groups formed 1900s: aversion treatments for chemical abuse 1930s: Lobotomies 1920s-30s: Prohibition 1935: Bill W started Alcoholics Anonymous 1950s: Psychotropic medications (Thorazine) 1950s: Al-Anon and Alateen started, Minnesota first DSM Model start to include families in treatment 1950s-60s: Family therapy began to gain popularity 1960s: first halfway houses and detox centers 1960s-70s: Move to deinstitutionalize clients 1970s: treatment focused on all chemicals, not just origins of outpatient mental health clinics alcohol Chemical dependency problems are moved to mental health departments, with controversy 1980: DSM-III includes substance abuse and dependence as mental health conditions 1990s-present: Co-occurring and Integrated Dual Disorders treatment programs develop

6 Origins of Mental Illness and Chemical Dependency Genetic factors a predisposition to mental illness and/or chemical dependency can be inherited from parents (nature) Environmental factors some risk factors for mental illness and/or chemical dependency are acquired by the context in which we live (nurture) This distinction is important in terms of how we treat MI/CD in our clients

7 Researchers today have shown that both play a role McLeod, S. A. (2007). Nature Nurture in Psychology. Retrieved from

8 Drug categories and effects Depressants vs. Stimulants (Central Nervous System) Depressants Alcohol Marijuana Opiates Benzodiazepines Barbiturates Stimulants Hallucinogens Cocaine Amphetamines Anabolic Steroids Inhalants Methamphetamine Tobacco

9 Substance Abuse/Dependence Statistics Alcohol Illicit Drugs * Marijuana % of US adults diagnosed with Abuse/Dependence * Medications * Heroin % of US adults diagnosed with Abuse/Dependence * Hallucinogens * Inhalants Substance Abuse and Mental Health Services Administration (2010).

10 Mental Illness Statistics Any Disorder Anxiety Disorders Mood Disorders % of US adults diagnosed Personality Disorders Substance % of US adults diagnosed Eating Disorders Attention Disorders Psychotic Disorders National Institute of Mental Health (2012).

11 Mental Illness categories and symptoms Anxiety Disorders Excessive, uncontrollable fear or worry, possibly panic attacks Mood Disorders Unstable mood, ranging from depressive to manic Personality Disorders Patterns of personality that are maladaptive Eating Disorders Body dysmorphia and related disordered eating habits Attention Disorders Attention deficits and/or hyperactivity Psychotic Disorders Disturbance of reality

12 Diagnosis and Symptoms Chemical Abuse Substance abuse is used to describe a pattern of substance (drug) use leading to significant problems or distress such as failure to attend work/school, substance use in dangerous situations (driving a car), substance-related legal problems, or continued substance use that interferes with friendships and/or family relationships. Substance abuse, as a disorder, refers to the abuse of illegal substances or the abusive use of legal substances. Alcohol is the most common legal drug of abuse. Chemical Dependence A diagnosis of drug dependence requires that a person have symptoms of intoxication and withdrawal

13 Diagnosis and Symptoms (continued) Intoxication drunkenness; inebriation; great elation; the act of intoxicating; poisoning Withdrawal the period a drug addict or alcoholic goes through following abrupt termination in the use of narcotics, alcohol or other drugs, usually characterized by physical and mental symptoms, including: Emotional Withdrawal Symptoms Anxiety Restlessness Irritability Insomnia Headaches Poor concentration Depression Social isolation Physical Withdrawal Symptoms Sweating Racing heart Palpitations Muscle tensions Tightness in the chest Difficulty breathing Tremor Nausea, vomiting, or diarrhea

14 Diagnosis and symptoms (continued) Dangerous Withdrawal Symptoms Alcohol and tranquilizers produce the most dangerous physical withdrawal. Suddenly stopping alcohol or tranquilizers can lead to seizures, strokes, or heart attacks in high risk patients. A medically supervised detox can minimize your withdrawal symptoms and reduce the risk of dangerous complications. Some of the dangerous symptoms of alcohol and tranquillizer withdrawal are: Grand mal seizures Heart attacks Strokes Hallucinations Delirium tremens (DTs)

15 Types of treatment for chemical dependency Detoxification Services A medically supervised treatment program for alcohol or drug addiction designed to purge the body of intoxicating or addictive substances and used as a first step in overcoming physiological or psychological addiction. Intensive Residential Treatment (inpatient) At Wayside this is the first 30 days in which a client comes to our treatment center. During this phase they are only allowed to leave the building with staff supervision and have more intensive programming Residential treatment (inpatient) Days 30 up to 90 (and sometimes longer) in which clients attend programming, outside appointments and self help groups, and begin transitioning into life outside of treatment Non-Residential (outpatient) Clients live on their own (usually in sober, supportive, or transitional housing while still attending 6 or more hours of treatment for 8 to 12 weeks at Wayside House Recovery Maintenance (outpatient) Clients begin decreasing the amount of services they receive at Wayside by only coming one time per week for two hours for 12 weeks. After this they can attend Commencement

16 Types of treatment for mental illness Medication management Outpatient therapy Community based services Intensive Outpatient programs Partial Hospitalization Day treatment Inpatient Hospitalization Medical monitoring Residential Treatment Short-term Long-term

17 Co-occurring Disorders History of this idea Rates of co-occurrence Adults with any mental illness and co-occurring substance abuse or dependence = 4% of all adults Among adults with substance use disorder, 42.8% had a co-occurring mental illness 37% of alcohol abusers and 53% of drug abusers also have at least one serious mental illness Of all people diagnosed as mentally ill, 29% abuse either alcohol or drugs this is almost 3 times as high as in population who are not mentally ill 47% of individuals with schizophrenia also had a substance abuse disorder (more than four times as likely as the general population) 61% of individuals with a bipolar disorder also had a substance abuse disorder (more than five times as likely as the general population) Substance Abuse and Mental Health Services Administration ( ).

18 Co-occurring Disorders Treatment options Among the 8.9 million adults with any mental illness and a substance use disorder: 44% received substance use or mental health treatment in the past year 13.5% received both mental health treatment and substance use treatment 37.6% did not receive any treatment

19 Addiction Only Services Dual Diagnosis Capable Dual Diagnosis Enhanced Integrated Dual Disorder Treatment Dual Diagnosis Enhanced Dual Diagnosis Capable Mental Health only Services Co-occurring disorders and Treatment Options

20 Principles of Integrated co-occurring disorders treatment Cross-training for clinicians Continuity in treatment Motivational interventions to facilitate client engagement and progress Behavioral interventions Case management Culturally sensitive treatment Long-term care

21 Principles of co-occurring disorders treatment Care that matches client s stage of recovery and stage of change Stages of addiction Pre-occupation Attempts to Control Use Destructive Behaviors to self or Others Negative impacts on all life areas with continued use Using more than intended Using alone/isolation Using less of a substance and still becoming intoxicated Tolerance becomes nil Body disease and eventual death

22 Prochaska et al Stages of Change

23 Principles of co-occurring disorders treatment Psychoeducation and self-help groups Inclusion of the client s social network and family Medical interventions when necessary Therapeutic alliance between clients and staff Dual recovery philosophy among staff

24 What can you do for your residents?

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification

More information

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction

Outline. Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction Outline Drug and Alcohol Counseling 1 Module 1 Basics of Abuse & Addiction About Substance Abuse The Cost of Chemical Abuse/Addiction Society's Response The Continuum of Chemical Use Definitions of Terms

More information

JACKSON RECOVERY CENTERS Initial Substance Abuse Assessment Form. Substance used: Method: Age started: Last used: Frequency/progression of use:

JACKSON RECOVERY CENTERS Initial Substance Abuse Assessment Form. Substance used: Method: Age started: Last used: Frequency/progression of use: JACKSON RECOVERY CENTERS Initial Substance Abuse Assessment Form PRESENTING PROBLEM DRUGS OF CHOICE Substance used: Method: Age started: Last used: Frequency/progression of use: Indicators of Addiction:

More information

Comprehensive Behavioral Care, Inc. Level of Care Guidelines Substance Abuse Adult

Comprehensive Behavioral Care, Inc. Level of Care Guidelines Substance Abuse Adult Comprehensive ehavioral Care, Inc. delivery system that does not include sufficient alternatives to a particular LOC and a particular patient. Therefore, CompCare considers at least the following factors

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

And, despite the numbers, for many people, the Facts About Drugs are not clear.

And, despite the numbers, for many people, the Facts About Drugs are not clear. According to the National Survey on Drug Use and Health (NSDUH), an estimated 20 million Americans aged 12 or older used an illegal drug in the past 30 days. This estimate represents 8% percent of the

More information

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.

Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug. Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants

More information

Identifying Individuals with a Dual Diagnosis and Substance Misuse

Identifying Individuals with a Dual Diagnosis and Substance Misuse Identifying Individuals with a Dual Diagnosis and Substance Misuse Presented by the Dual Diagnosis Substance Misuse Committee 1 Goal of Presentation To raise awareness To assist staff to identify individuals

More information

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015 The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least

More information

- UNDERSTANDING - Dual Diagnosis

- UNDERSTANDING - Dual Diagnosis - UNDERSTANDING - Dual Diagnosis TABLE OF CONTENTS Introduction 3 The Link Between Mental Illness and Substance Abuse 4 Characteristics of an Effective Dual Diagnosis Treatment Plan 6 Dual Diagnosis Treatment

More information

Alcohol addiction treatment

Alcohol addiction treatment Alcohol addiction treatment VERESIES CLINIC offers treatment of alcohol dependence. The program is offered both as an inpatient and outpatient program. It offers an intensive program of personal Psychological

More information

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug.

Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug. Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she

More information

Levels of Care Guide

Levels of Care Guide Levels of Care Guide What Type of Drug Rehab Is Right for You? A Guide to Understanding Levels of Care in Addiction Treatment Looking for help for yourself or a loved one? Congratulations! You are on the

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Drug Abuse and Addiction

Drug Abuse and Addiction Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user

More information

information for families Schizophrenia & Substance Use

information for families Schizophrenia & Substance Use information for families Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 3 5 6 7 8 9 10 Why do people with schizophrenia use drugs and alcohol? What is the impact of using substances

More information

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working

More information

OTC Abuse. Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University

OTC Abuse. Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University OTC Abuse Dr. Eman Said Abd-Elkhalek Lecturer of Pharmacology & Toxicology Faculty of Pharmacy Mansoura University Opiates Abuse Opioids are a group of natural, partially synthetic, or synthetic drugs

More information

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.

Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive. Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.

More information

Opiate Abuse and Mental Illness

Opiate Abuse and Mental Illness visited on Page 1 of 5 LEARN MORE (HTTP://WWW.NAMI.ORG/LEARN-MORE) FIND SUPPORT (HTTP://WWW.NAMI.ORG/FIND-SUPPORT) GET INVOLVED (HTTP://WWW.NAMI.ORG/GET-INVOLVED) DONATE (HTTPS://NAMI360.NAMI.ORG/EWEB/DYNAMICPAGE.ASPX?

More information

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)

LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders

More information

Residential Sub-Acute Detoxification Guidelines

Residential Sub-Acute Detoxification Guidelines I. Background Information A. Definition of Detoxification Residential Sub-Acute Detoxification Guidelines SAMSA s TIP #45, Detoxification and Substance Abuse Treatment: Treatment Improvement Protocols

More information

DrugFacts: Treatment Approaches for Drug Addiction

DrugFacts: Treatment Approaches for Drug Addiction DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please

More information

Schizoaffective Disorder

Schizoaffective Disorder FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is

More information

Alcohol Use Scale-Revised {AUS-R)

Alcohol Use Scale-Revised {AUS-R) FORM C2 Alcohol Use Scale-Revised {AUS-R) Client name: ~ Rater: Date: INSTRUCTIONS This scale pertains to your client's use of alcohol over the past 6 months. Rate the worst period of alcohol use during

More information

Behavioral Health Medical Necessity Criteria

Behavioral Health Medical Necessity Criteria Behavioral Health Medical Necessity Criteria Revised: 7/14/05 2 nd Revision: 9/14/06 3 rd Revision: 8/23/07 4 th Revision: 8/28/08; 11/20/08 5 th Revision: 8/27/09 Anthem Blue Cross and Blue Shield 2 Gannett

More information

Alcohol & Chemical Dependence. Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma

Alcohol & Chemical Dependence. Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma Alcohol & Chemical Dependence Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma Objectives Increased awareness of alcohol and chemical dependence problems Hallmarks of

More information

ADDICTIONS. BEHAVIOURAL Internet Shopping Work Sex Gambling Food. SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco

ADDICTIONS. BEHAVIOURAL Internet Shopping Work Sex Gambling Food. SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco ADDICTIONS BEHAVIOURAL Internet Shopping Work Sex Gambling Food SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco Addiction is a chronic, relapsing disease affecting the brains's reward, motivation and

More information

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction.

Pharmacology and Physiology (C105) Understanding Pharmacology and Physiology. The History of Drugs. The Neurobiology of Addiction. Understanding Pharmacology and Physiology Knowledge of Pharmacology and Physiology is Crucial SAMHSA s Counselor Competencies What is Addiction? NIDA: Why Do People Use Drugs? From Abuse to Addiction Desired

More information

FRN Research Report February/March 2012: Treatment Outcomes for Prescription Drug Addiction at Michael s House

FRN Research Report February/March 2012: Treatment Outcomes for Prescription Drug Addiction at Michael s House FRN Research Report February/March 2012: Treatment Outcomes for Prescription Drug Addiction at Michael s House Background While the use of illegal drugs like cocaine and heroin is falling, more people

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

WHAT YOU SHOULD KNOW ABOUT DETOX

WHAT YOU SHOULD KNOW ABOUT DETOX So I made it. I m on the other side. WHAT YOU SHOULD KNOW ABOUT DETOX My body has purged itself. Sure, it took help from staff, some vitamin shots, detox drugs and a lot of sickness to make the symptoms

More information

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA 2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA Overview Psychcare strives to provide quality care in the least restrictive environment. An

More information

Substance Use Disorder Overview. Presented By Ecole J. Barrow-Brooks M.Ed & Darlene D. Owens MBA, LBSW, CADC, ADS

Substance Use Disorder Overview. Presented By Ecole J. Barrow-Brooks M.Ed & Darlene D. Owens MBA, LBSW, CADC, ADS Substance Use Disorder Overview Presented By Ecole J. Barrow-Brooks M.Ed & Darlene D. Owens MBA, LBSW, CADC, ADS 1 National Issue There continues to be a large treatment gap in the U.S. In 2013, an estimated

More information

The University of Toledo - Main Campus Policy

The University of Toledo - Main Campus Policy The University of Toledo - Main Campus Policy IV-12 3360-30-12 Alcohol and Substance Abuse. (A) Alcohol and drug abuse policy statement The University of Toledo is committed to promoting and maintaining

More information

AH: Welcome to today s #AHchat! Our topic is Alcohol Complications for those struggling with Dual Diagnosis Issues

AH: Welcome to today s #AHchat! Our topic is Alcohol Complications for those struggling with Dual Diagnosis Issues Tweet Chat Script from Andre Evans of Sovereign Health Treatment Center discussing Alcohol Complications for Those Struggling with Dual Diagnosis February 12, 2015 AH: Welcome to today s #AHchat! Our topic

More information

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics

4. How does your city fit into the political-administrative structure of your country? Total Partial None. 5. Demographics . City.Country. Official responsible for providing this information (mandatory) a. Name b. Position Official title c. Institution Name of the institution where you work d. Address Complete postal address

More information

Comprehensive Behavioral Care, Inc. Level of Care Guidelines Substance Abuse Children/Adolescents

Comprehensive Behavioral Care, Inc. Level of Care Guidelines Substance Abuse Children/Adolescents Medical Necessity In considering the appropriateness of any level of care, the four basic elements of Medical Necessity should be met: 1. A diagnosis as defined by standard diagnosis nomenclatures (DSM

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the

More information

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011 RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for

More information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]

SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual

More information

Feeling that you have to use the drug regularly this can be daily or even several times a day. Failing in your attempts to stop using the drug

Feeling that you have to use the drug regularly this can be daily or even several times a day. Failing in your attempts to stop using the drug Drug addiction Definition Drug addiction is a dependence on an illegal drug or a medication. When you're addicted, you may not be able to control your drug use and you may continue using the drug despite

More information

Naltrexone and Alcoholism Treatment Test

Naltrexone and Alcoholism Treatment Test Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

Addiction Medicine for FP / GP. Dr. Francisco Ward, DABPMR/PM SetonPainRehab.com setonpr@gmail.com

Addiction Medicine for FP / GP. Dr. Francisco Ward, DABPMR/PM SetonPainRehab.com setonpr@gmail.com Addiction Medicine for FP / GP Dr. Francisco Ward, DABPMR/PM SetonPainRehab.com setonpr@gmail.com S Disease of Chemical Addiction Short Definition of Addiction (ASAM): Addiction is a primary, chronic disease

More information

Sex and Love Addiction

Sex and Love Addiction Sex and Love Addiction Yes, love and sex can be addictive and as destructive, at least socially, as compulsive substance use. The high hinges on physical or psychological arousal, and relationships can

More information

What Is Medically. Supervised Detoxification? Chapter 13

What Is Medically. Supervised Detoxification? Chapter 13 Chapter 13 What Is Medically Supervised Detoxification? T I have been a heroin addict for three years and am desperately trying to stop. As the withdrawal symptoms are very severe, the muscle cramps, shakes,

More information

Atlanta Center For Positive Change Karen Kallis, M.Ed., LAPC, NCC 333 Sandy Springs Circle, Atlanta, GA 30328

Atlanta Center For Positive Change Karen Kallis, M.Ed., LAPC, NCC 333 Sandy Springs Circle, Atlanta, GA 30328 Atlanta Center For Positive Change Karen Kallis, M.Ed., LAPC, NCC 333 Sandy Springs Circle, Atlanta, GA 30328 An important part of the helping relationship is understanding the expectations of the relationship.

More information

Drug and Alcohol Abuse Training revised: October 2015

Drug and Alcohol Abuse Training revised: October 2015 Drug and Alcohol Abuse Training revised: October 2015 FMCSA is considering going to a seven panel and possibly ten panel. Hair testing may also be acceptable. What is a Drug? A substance which

More information

Prescription Drug Abuse

Prescription Drug Abuse Prescription Drug Abuse Introduction Most people take medicines only for the reasons their health care providers prescribe them. But millions of people around the world have used prescription drugs for

More information

DEPARTMENT OF PSYCHIATRY. 1153 Centre Street Boston, MA 02130

DEPARTMENT OF PSYCHIATRY. 1153 Centre Street Boston, MA 02130 DEPARTMENT OF PSYCHIATRY 1153 Centre Street Boston, MA 02130 Who We Are Brigham and Women s Faulkner Hospital (BWFH) Department of Psychiatry is the largest clinical psychiatry site in the Brigham / Faulkner

More information

DRUG AND ALCOHOL ABUSE POLICY

DRUG AND ALCOHOL ABUSE POLICY DRUG AND ALCOHOL ABUSE POLICY It is the policy of the College of Biblical Studies that the unlawful use, manufacture, sale, attempted sale, distribution, transfer, purchase, attempted purchase, cultivation,

More information

PRESCRIPTION DRUG ABUSE prevention

PRESCRIPTION DRUG ABUSE prevention PRESCRIPTION DRUG ABUSE prevention Understanding Drug Addiction Many people do not understand how someone could abuse drugs even when their life seems to be falling apart. It is often assumed that those

More information

Treatment for substance abuse and dependence at HC Marbella

Treatment for substance abuse and dependence at HC Marbella Detox Unit Treatment for substance abuse and dependence at HC Marbella The disease Addiction is a disease that is becoming a common problem in our society today. In actual fact, addiction is a chemical

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Chapter 1: Introduction Early studies conducted in substance abuse programs typically

More information

Understanding Mental Illness Healing Friends Training Module 1

Understanding Mental Illness Healing Friends Training Module 1 Understanding Mental Illness Healing Friends Training Module 1 Objectives To know the myths about mental illness To know the causes of mental illness To have a basic knowledge of common mental illnesses

More information

Topics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC

Topics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions

More information

Conceptual Models of Substance Use

Conceptual Models of Substance Use Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes

More information

Amphetamines Addiction

Amphetamines Addiction Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes

More information

Drug and Alcohol Abuse Prevention Information

Drug and Alcohol Abuse Prevention Information Drug and Alcohol Abuse Prevention Information In accordance with the Drug-Free Schools and Communities Act Amendments of 1989, Grace School of Theology provides the following information to provide a campus

More information

Co-Occurring Disorders: A Basic Overview

Co-Occurring Disorders: A Basic Overview Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in

More information

How. HOLiSTIC REHAB. Benefits You

How. HOLiSTIC REHAB. Benefits You How HOLiSTIC REHAB Benefits You Table of Content Holistic Rehab Centers are More Popular than Ever The Need for Drug & Alcohol Rehabilitation Programs Alcohol Abuse and Addiction These Issues Need Treatment

More information

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use

More information

Mental Health and Older Adults

Mental Health and Older Adults Mental Health and Older Adults Working effectively with clients who have a mental illness. Kathleen Renfree, LCPC What is Mental Health? Mental Health is the successful performance of mental function,

More information

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT?

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Open Learning Agency 2004 WHAT IS IT? Anxiety is a normal human feeling characterized by worry, nervousness and fear. Not only does anxiety

More information

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S.

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Director, National Initiatives, Council of State Governments Justice Center Today s Presentation The Behavioral Health System

More information

COMMUNITY MENTAL HEALTH RESOURCES

COMMUNITY MENTAL HEALTH RESOURCES COMMUNITY MENTAL HEALTH RESOURCES (Adult Mental Health Initiative) Ramsey & Washington Information gathered by: MN. State Advisory Council on Mental Health 17-25 Year Old Committee Mental Health Services

More information

Behavioral Health Medical Necessity Criteria

Behavioral Health Medical Necessity Criteria Behavioral Health Medical Necessity Criteria Effective January 1, 2011 Revised and approved on 8/19/2010 The Office of Medical Policy and Technological Assessment (OMPTA) has developed policies that serve

More information

Specialized terms used in this workbook and their meanings:

Specialized terms used in this workbook and their meanings: Glossary Specialized terms used in this workbook and their meanings: Absorption: The way alcohol enters the bloodstream. Alcohol is absorbed into the blood through the stomach and small intestine. Addiction:

More information

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious

More information

34 th Judicial District Substance Abuse Study Guide

34 th Judicial District Substance Abuse Study Guide 34 th Judicial District Substance Abuse Study Guide What is Drug Addiction? 2 It is characterized by intense and, at times, uncontrollable drug craving, along with compulsive drug seeking and use that

More information

CURRICULUM MAP. COURSE TITLE: Health DESCRIPTION PREREQUISITES: None

CURRICULUM MAP. COURSE TITLE: Health DESCRIPTION PREREQUISITES: None CURRICULUM MAP COURSE TITLE: Health DESCRIPTION PREREQUISITES: None OF COURSE: Health Education is designed to develop an understanding of your general health and wellness. This class fosters good decision

More information

CCW Task Order 16: Round 3 Clinical Condition Algorithms. Page 1 of 5 ICD-9 CODE DESCRIPTION ICD-9 CODE

CCW Task Order 16: Round 3 Clinical Condition Algorithms. Page 1 of 5 ICD-9 CODE DESCRIPTION ICD-9 CODE DESCRIPTION 292 Drug-induced mental disorders 2920 Drug withdrawal 29211 Drug-induced psychotic disorder with delusions 29212 Drug-induced psychotic disorder with hallucinations 2922 Pathological drug

More information

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult

LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American

More information

ASAM 101: How to complete the ASAM Placement Form

ASAM 101: How to complete the ASAM Placement Form ASAM 101: How to complete the ASAM Placement Form What is the ASAM? The ASAM Placement Form is a document required by contract The ASAM Form is an ASSESSMENT tool as well as a PLACEMENT tool It seeks to

More information

75-09.1-08-02. Program criteria. A social detoxi cation program must provide:

75-09.1-08-02. Program criteria. A social detoxi cation program must provide: CHAPTER 75-09.1-08 SOCIAL DETOXIFICATION ASAM LEVEL III.2-D Section 75-09.1-08-01 De nitions 75-09.1-08-02 Program Criteria 75-09.1-08-03 Provider Criteria 75-09.1-08-04 Admission and Continued Stay Criteria

More information

Withdrawal Symptoms: How Long Do They Last?

Withdrawal Symptoms: How Long Do They Last? Withdrawal Symptoms: How Long Do They Last? Posted by First Step Medical Detox on November 24, 2015 When considering stopping drugs or alcohol, many addicts and alcoholics are concerned about the withdrawal

More information

Template for Assessing a Client s Substance Use Developed by Cynthia Glidden-Tracey, Ph.D.

Template for Assessing a Client s Substance Use Developed by Cynthia Glidden-Tracey, Ph.D. Template for Assessing a Client s Substance Use Developed by Cynthia Glidden-Tracey, Ph.D. Client s Name Date and circumstances of Assessment a. Client s Reason for Seeking Assessment b. Substance Use

More information

JOURNAL OF ADDICTIVE DISORDERS DUAL DIAGNOSIS 1

JOURNAL OF ADDICTIVE DISORDERS DUAL DIAGNOSIS 1 JOURNAL OF ADDICTIVE DISORDERS DUAL DIAGNOSIS 1 SUMMARY An examination of Dual Diagnosis for substance abuse and co-existing mental health disorders, including screening and assessment, detoxification,

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

Drug addiction. These factors increase the likelihood of your having an addiction to a legal or an illegal drug:

Drug addiction. These factors increase the likelihood of your having an addiction to a legal or an illegal drug: Drug addiction You may be hooked emotionally and psychologically. You may have a physical dependence, too. If you're addicted to a drug whether it's legal or illegal you have intense cravings for it. You

More information

Dual diagnosis: working together

Dual diagnosis: working together Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction

More information

Alcohol Withdrawal Recognition and Treatment

Alcohol Withdrawal Recognition and Treatment Alcohol Withdrawal Recognition and Treatment Thomas Meyer BS EMS, MICP SREMSC Page 1 Purpose As EMTs a mantle of responsibility is placed upon you to ensure the safety and well-being of those in your charge

More information

Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist

Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist DRUG ADDICTION IS A COMPLEX ILLNESS Human Brain Functions of the Brain Stimulants Cocaine. Amphetamine. Methamphetamine

More information

Behavioral Health Medical Necessity Criteria

Behavioral Health Medical Necessity Criteria Behavioral Health Medical Necessity Criteria Effective January 1, 2013 Revised and approved on 8/09/2012 Anthem Blue Cross 21555 Oxnard St. Woodland Hills, CA 91365 Toll free: 1-800-274-7767 The Office

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

Building on a century of compassionate care, shaping the future of behavioral health.

Building on a century of compassionate care, shaping the future of behavioral health. Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has

More information

Mental Health First Aid Awareness

Mental Health First Aid Awareness Mental Health First Aid Awareness Presenter: Kate Brooks / Michelle Bakjac Registered Psychologist / CHG Accredited Trainer Course Overview What is mental illness What is mental health first aid and why

More information

Handout for. A Videotaped Lecture Produced by:

Handout for. A Videotaped Lecture Produced by: Handout for DUAL DIAGNOSIS: An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders in Managed Care Systems Kenneth Minkoff, M.D. A Videotaped Lecture Produced

More information

YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT

YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT Siobhan A. Morse, MHSA, CRC, CAI, MAC Director of Fidelity and Research Foundations Recovery Network YOUNG

More information

Development of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery

Development of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery Development of Chemical Dependency in Adolescents & Young Adults How to recognize the symptoms, the impact on families, and early recovery Tim Portinga, PsyD, LP, Mental Health Clinic Supervisor Tim Portinga

More information

Mental Health Awareness. Haley Berry and Nic Roberts Nottinghamshire Mind Network

Mental Health Awareness. Haley Berry and Nic Roberts Nottinghamshire Mind Network Mental Health Awareness 2015 Haley Berry and Nic Roberts Nottinghamshire Mind Network The aim of this training:! to provide you with a basic understanding of mental health and mental illness. What do you

More information

The Region s Premier Provider of Behavioral Health and. Addiction Recovery Services

The Region s Premier Provider of Behavioral Health and. Addiction Recovery Services Addiction Recovery Services The Region s Premier Provider of Behavioral Health and Addiction Recovery Services How Many People Experience Behavioral Health Issues? You d be surprised at how many. Anyone

More information

Brief Review of Common Mental Illnesses and Treatment

Brief Review of Common Mental Illnesses and Treatment Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia

More information

CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES:

CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES: CHARLES & SUE S SCHOOL OF HAIR DESIGN DRUG AND ALCOHOL POLICY DRUG AND ALCOHOL POLICY; SUBSTANCE ABUSE RESOURCES: At Charles & Sue s School of Hair Design, the illicit use of drugs and/or alcohol by staff

More information

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Believe Again in Life. In The future. In Yourself. At The Watershed, our passion is helping addicts and alcoholics

More information

Alcohol and Chemical Dependency Inpatient Treatment Programs

Alcohol and Chemical Dependency Inpatient Treatment Programs Alcohol and Chemical Dependency Inpatient Treatment Programs Road to Recovery For the treatment of alcohol or chemical dependency, Marworth s specialized programs incorporate a person s unique lifestyle,

More information